Your Ref: XXX
Allstate Insurance Company
XXX
XXX
Tel:–
RE: CLAIM FOR INSURANCE SETTLEMENT TO PERSON 1 ON ACCOUNT OF THE
DEATH OF XXX
I, PERSON 1 am the next of Kind for the above-named deceased person (Darren Curry) under
whose case I address you as hereunder:
That on or about the XXX of XXX at around 12.38am, PERSON 1 was riding his pedaled
bicycle along XXX, when he was involved in a road accident.
PERSON 2 of Driver’s License ID Number XXX traveling north on XXX
hit PERSON 1 who was traveling south on XXX on the XXX. PERSON 1 was the driver of a XXX.
That on the same day, PERSON 2 was rushed to XXX County Medical Center to receive
emergency treatment, where he unfortunately passed away that very same day. PERSON 1 was insured by Allstate Auto Insurance Company under policy number XXX.
That under the provisions of the New-York No-Fault Law, victims of motor vehicle accidents are
entitled to reimbursement for their basic economic losses of up to XXX.
That on the XXX, I launched a settlement claim with your insurance company under
claim number XXXX. That despite my constant complaints, reminders and follow up, you
have failed /refused/neglected to respond to and adhere to my claim, for which the statute of
limitations timeline is quickly approaching and shall have ended on the XXX.
Accordingly, my strict, unequivocal and concise objective is to DEMAND from you, which I
hereby do, your immediate admission of fault and payment of the basic economic loss amount
of XXX being the minimum amount payable within Fourteen (14) days of receipt of this
letter.
TAKE NOTICE that unless the aforesaid demands are met within fourteen (14) days from
receipt of this letter, I shall endeavor to institute legal proceedings against you and at all times,
holding you liable for costs and other consequences ensuing therefrom. I trust that this will not
be necessary and look forward to your urgent response. Be advised.
Yours Sincerely,
PERSON 3
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